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Organization

LXE COUNSELING SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TERESA ATWELL BA-BEHAVIORAL SCIENC (BEHAVIORAL THERAPIST)
(903) 715-8629
Entity
Organization

Contact information

Practice address
1100 QUAIL RD, LANE, OK 74555
(903) 715-8629
Mailing address
P.O. BOX 222, LANE, OK 74555

Taxonomy

Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary

Other

Enumeration date
10/22/2010
Last updated
10/22/2010
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